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Western Australian Multidisciplinary Post Fall Management Guidelines 2023 Information about this PowerPoint • It provides a summary of the updated Post Fall Multidisciplinary Management Guidelines for Western Australian Health Care Settings 2023 • It is designed to assist in the education of all health professionals involved in the care of a patient post fall • All health professionals involved in the care of a patient post fall should receive this information • It is a basic outline and contains only essential information • It can be adapted to suit your local area and staff • Refer to the complete guidelines • Supplementary notes are given below the slides • The application of local policy may indicate alternative actions or other policies to meet requirements Please contact Falls.ManagementWA@health.wa.gov.au if you have any questions/comments or feedback Presentation includes: • Information about the updated post-fall guidelines • The 48 hour post fall process • The role of the multidisciplinary team • Post fall multidisciplinary huddles • Clinical investigation Western Australian Multidisciplinary Post Fall Guidelines 2023 A review of the Post Fall Management Guidelines in Western Australian Healthcare Settings 2018 was undertaken in 2022 by a large working party formed of health professionals from across public, rural, and private inpatient facilities in WA Current best practice and evidence was rigorously examined to deliver a guideline that offers the optimal care of a patient following a fall State-wide consultation of consumers, health professionals including aboriginal and untrained health care staff has occurred during the guideline development The Guidelines These guidelines may need modifying to ensure their suitability for falls in children • Are for adult inpatient and multipurpose healthcare facilities only • Ensure the continued delivery of optimal patient care and patient safety following a fall • Aim to reduce the risk of further falls and harm from falls • Aims to ensure early detection of physical or cognitive deterioration Post Fall Community Guideline can be obtained from Falls.Management@health.wa.gov.au The Guidelines • Support the health professional’s decisionmaking about appropriate treatment and care for specific clinical circumstances It does not replace clinical judgment Overview of the changes • The process of post fall management care remains over 48 hours • Patient on Palliative Care Pathway: Consultant to document advice for observations and post fall care • Goal of Care Check: this assists in identifying care to be provided post fall • Physiotherapy Gait Assessment addition, (see Physiotherapy section) Local Policy May Apply to Some of These Actions The 48 hour post fall process: immediate actions The 48 hour post fall process: Immediate actions Stop and Consider: Patients on anticoagulant, antiplatelet therapy and/or patients with a known coagulopathy (e.g alcohol dependent persons) are at an increased risk of intracranial, intrathoracic, intra-abdominal haemorrhage Complete initial assessment of patient D = Danger R = Response S = Send for help A = Airway B = Breathing C = Circulation D = Disability E = Exposure The 48 hour post fall process: Immediate actions Assess for physical injury: •Neck pain/ injury indicate the neck should be immobilised •Head injury, hip or other fracture and/ or soft tissue injury following a fall dictates specific action •Medical review within 30 minutes if patient is injured •If no injury medical review as soon as possible (within hours) for assessment and investigations Local Policy May Apply to Some of These Actions 10